Pressure relief mattresses
A pressure injury takes weeks to appear and months to heal. The mattress is what stops it starting.
Foam, gel, alternating pressure, hybrid and low air loss. We ask three questions about the person, and the answer usually picks itself.
Which mattress does the person actually need?
Three questions decide this, and the wrong answer in either direction is a problem. Too little protection causes injury; too much is uncomfortable to sleep on.
Skin does not fail suddenly. It fails from load held in one place too long.
When someone lies in the same position for hours, the tissue over the heels, the sacrum, the hips and the shoulder blades is compressed between bone and mattress. Blood supply to that tissue reduces, and past a certain point the tissue begins to die. It is silent while it happens.
A healthy person shifts position constantly without noticing, including in their sleep. Someone who is weak, sedated, unconscious or paralysed does not, and that is the whole risk. The mattress either redistributes that load or actively moves it, depending on how high the risk is.
How long is the person lying down?
A normal night is one thing. Sixteen hours a day is another, and it changes the answer entirely.
Can they reposition themselves?
Someone who turns in their sleep is at far lower risk than someone who cannot move without help.
Is there any damage already?
Existing redness or breakdown moves the requirement up a category immediately. This is not the moment to economise.
Moisture, nutrition and weight
Incontinence, poor nutrition and low body weight all raise the risk independently of hours in bed.
These are not good, better and best.
They are answers to different levels of risk, and the wrong one in either direction causes a problem.
High specification foam, often layered or castellated so it redistributes rather than simply supporting. Quiet, nothing to plug in, nothing to fail.
A gel layer over foam spreads load away from heels, sacrum and shoulders and runs cooler, which matters over long hours.
Air cells inflate and deflate in sequence from a pump, so no area of skin carries continuous load. Active relief rather than passive.
Foam construction with an air system inside, or a low air loss system that also manages moisture and heat at the skin surface.
The most expensive mattress is not automatically the right one.
An alternating pressure system for someone at low risk is not a safe upgrade. The cells move continuously, which some people find disturbing to sleep on, and the pump makes noise all night. If someone repositions themselves normally, a good foam mattress is the correct clinical answer, not a compromise.
The reverse is far more serious. Someone at genuine risk on a basic foam mattress will develop injuries that take months to heal, cost a great deal to treat and are avoidable. That is why we assess rather than sell up or sell down.
What goes with it
The parts that decide whether the mattress does its job over months rather than days.
Mattress covers
Waterproof but vapour permeable, so moisture leaves rather than being trapped against skin. A plastic sheet defeats the whole mattress.
Heel protection
Heels have almost no tissue over the bone and are where damage most often starts. Offloading boots and wedges address it directly.
Positioning wedges
Foam wedges that hold someone at an angle so load moves off the sacrum, for people who cannot turn themselves.
Fitted sheets
Cut for a profiling mattress so they do not pull tight and create a ridge when the bed articulates. Ordinary sheets do exactly that.
Medical mattresses we supply
Matched to assessed skin risk, not to a price list.
Gravity 8 Deluxe Long Term Care Pressure Redistribution Mattress
High specification foam for long hours in a homecare or facility bed.
Gravity 7 Long Term Care Pressure Redistribution Mattress
Foam redistribution for someone who still repositions themselves.
Geo-Matrix G2 Memory Foam Therapeutic GEL Mattress
Gel over foam for cooling and load spread at moderate risk.
Geo-Matrix G3 Memory Foam GEL Mattress
Next gel layer when hours in bed are longer and cooling matters.
Med-Aire 8 inch Alternating Pressure and Low Air Loss Mattress System
Active air cells for higher risk or lingering redness.
Med-Aire Plus 8 inch Alternating Pressure and Low Air Loss Mattress System
Higher-risk air system, including a defined perimeter option.
Drive Multi-Ply SHEARCARE1500 Pressure Redistribution Foam Mattress
Foam redistribution, including a bariatric width option.
Not an ADP item. Other routes often work, especially with a wound.
Pressure relief mattresses are not covered by Ontario's Assistive Devices Program. ODSP, March of Dimes Canada, WSIB where the need follows a workplace injury, Veterans Affairs, the Interim Federal Health Program and private insurance frequently do contribute, particularly where there is an existing wound.
Where funding is not available and the need is short term, renting a therapy mattress is usually far more sensible than buying one. And if there is redness already, rent now and apply in parallel rather than waiting.
You need it now
If there is redness already, do not wait for funding. Rent a therapy mattress this week and we can start an application in parallel. Skin damage moves faster than paperwork.
Book an assessment →You want funding
ADP does not fund mattresses. ODSP, March of Dimes, WSIB, Veterans Affairs, IFHP and insurance often do, especially with a documented wound. We complete those applications.
See how funding works →It is unaffordable
Then rent rather than buy, because a therapy mattress by the month costs far less than most people assume. Say what you can manage and we will work to it. This is not equipment to go without.
Talk to us honestly →Questions we get asked about pressure relief mattresses
If yours is not here, call us on 905 451-7743. A person answers during business hours.
How do I know which mattress I need?
Three questions decide it: how many hours a day the person spends in bed, whether they can change position by themselves, and whether there is any skin damage already. Existing redness or breakdown moves the requirement up a category immediately. We assess at the free visit rather than selling from a price list.
Is an alternating pressure mattress always better?
No. For someone at low risk it is the wrong choice: the cells move constantly, which some people find hard to sleep on, and the pump runs all night. If a person repositions themselves normally, a good foam mattress is the correct answer, not a cheaper compromise.
What is low air loss?
A low air loss system moves a small volume of air through the mattress surface to manage moisture and heat at the skin. Warm damp skin breaks down far more readily and heals slower, so it addresses a risk factor that pressure relief alone does not. It is used for higher risk situations and existing wounds.
Does ADP cover a pressure relief mattress?
No. It is not an Assistive Devices Program category. ODSP, March of Dimes Canada, WSIB, Veterans Affairs, IFHP and private insurance often do contribute, especially where a wound already exists, and we complete those applications for you.
Can I use my own sheets?
Use fitted sheets cut for a profiling mattress. Ordinary sheets pull tight when the bed articulates and create a ridge across the surface, which concentrates pressure exactly where you are trying to relieve it. Never put a plastic undersheet over a therapy mattress; it traps moisture and defeats the system.
Does the mattress fit my existing bed?
Medical mattresses come in standard sizes to fit homecare and hospital bed frames. If you have a domestic bed, tell us, because sizing and the way the mattress sits in the frame both differ. We check it at the assessment before delivering anything.
Can I rent a therapy mattress?
Yes, and for a wound that is expected to heal, or for a short period at home after hospital, renting is usually the sensible route. We deliver and fit across the GTA and collect when it is no longer needed. It costs far less by the month than people assume.
What happens in a power cut with an air mattress?
Alternating and low air loss systems have a static mode or a non-return valve so the mattress holds air and stays supportive rather than deflating. Hybrid mattresses have a foam core underneath and remain usable regardless. We explain what yours does when we fit it.
How do I know if the current mattress has failed?
Press down firmly with your palm where the hips and sacrum rest. If you can feel the base board through it, the foam has bottomed out and is no longer redistributing anything. It looks identical to a new one from the outside, which is why nobody notices.
What about the heels?
Heels are the most common site of pressure damage because there is almost no tissue between skin and bone there, and a mattress alone does not fully offload them. Heel protection boots or wedges address it directly, and we will raise it if the person spends long periods lying flat.
Is the pump noisy?
Alternating pressure pumps make a low continuous sound, and some people find it disturbing at first while others stop noticing within a week. If sleep is already poor, tell us, because a hybrid may be the better choice for the same protection with less noise.
How quickly can you deliver?
Usually within a day or two, and we prioritise cases where there is skin breakdown already. If someone has redness that is not fading, ring today rather than waiting, because the difference between stage one and an open wound is days rather than weeks.
Book a free mattress assessment
We look at the person, the bed and the risk, and recommend the category that fits. Not the most expensive one, the right one.